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A Meta-analysis Comparing Toothbrush Technologies on Gingivitis and Plaque
Yuanshu Zou1, Julie Grender1, Ralf Adam2
1Oral Care Research & Development, The Procter & Gamble Company, Mason, Ohio, USA.
International Dental Journal
|July 22, 2023
Summary
Oscillating-rotating toothbrushes significantly outperform manual and sonic brushes in reducing gingivitis and plaque. Advanced oscillating-rotating models show even greater efficacy for improved oral health.
Area of Science:
- Oral Health
- Periodontal Health
- Preventive Dentistry
Background:
- Effective daily plaque removal is crucial for maintaining periodontal health and overall well-being.
- Research highlights the link between oral health and systemic health.
- This study compares oscillating-rotating, sonic, and manual toothbrushes for plaque and gingivitis reduction.
Approach:
- A meta-analysis of randomized controlled trials (RCTs) from 2007-2022 was conducted.
- Participant-level data was used for direct and indirect treatment comparisons.
- Transition rates to gingival health, bleeding sites, and plaque reduction were analyzed.
Key Points:
- Oscillating-rotating brushes achieved higher participant transition to gingival health (72%) versus sonic (54%) and manual (21%).
- Greater reductions in bleeding sites (52% vs manual, 29% vs sonic) and plaque (19% vs manual, 5% vs sonic) were observed with oscillating-rotating brushes.
- Advanced oscillating-rotating models demonstrated superior efficacy compared to traditional models, manual, and sonic brushes.
Conclusions:
- Oscillating-rotating toothbrushes provide superior outcomes for gingivitis and plaque reduction compared to manual and sonic alternatives.
- These brushes facilitate a faster transition to gingival health.
- The latest oscillating-rotating toothbrush technology offers enhanced clinical benefits.

